A normal nipple is protruding but for many years, there has been a problem of inverted nipples for some men and women. The overpowering of force pulling on nipples from underneath causes the inversion and the most common cause is having too much connective tissue in the nipple. There are three levels of inverted nipples:
Grade 1: Nipple is flat or inverted and can easily be manipulated out
Grade 2: Nipple is inverted but can be pulled out with difficulty and will not stay out. This is one of the most common of inverted nipple.
Grade 3: Nipple is tightly inverted and will not come out at all
What are the problems with inverted nipples?
Inverted nipples causes a few problems such as affected confidence and for some women, it goes to the extreme of inability to breastfeed.
There are two ways to inverted nipple correction surgery.
In preservation of milk ducts:Anesthesia will be administered by a local anesthetic as well as a sedative for relaxation. An incision will be made just around the base of the nipple on the areola. The tissue of the nipple and areola is lifted from the breast, but still connected to it, and stitched into a new, projecting shape.
This method uses a “purse-string” style of stitches. The circular shape of the scar around the nipple will increase the nipple projection. Medicated gauze is then applied to the area.
Detached milk ducts:This is a more common procedure and may even be necessary in more difficult cases. Local anesthesia and sedative will be applied for the procedure.
For this method, an incision is made at the nipple base, and shorted milk ducts are detached. This will allow a more natural-looking projection of the nipple. The incision is then stitched up and medicated gauze is applied to the area.
How long does the procedure take?The procedure will take about one to two hours, depending on the technique used and the anatomy of the patient. Post-procedure recovery takes about a week but patients may be back at work, days after.